Healthcare Provider Details

I. General information

NPI: 1013388941
Provider Name (Legal Business Name): SPECIAL SUPPORT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 E 47TH ST
HIALEAH FL
33013-1864
US

IV. Provider business mailing address

434 E 47TH ST
HIALEAH FL
33013-1864
US

V. Phone/Fax

Practice location:
  • Phone: 305-924-0780
  • Fax:
Mailing address:
  • Phone: 305-924-0780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLOS D DUARDO
Title or Position: PRESIDENT/ OWNER
Credential:
Phone: 305-924-0780